Individual provider Active NPI

Irwin Endelman, MD

  • Obstetrics & Gynecology Physician
  • Plano, TX
National Provider Identifier
1083705362
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H2358 Issued in TX
Practice address
6130 W. Parker Rd
Mob 1 Ste 310
Plano, TX 75093
Phone
(972) 981-7927
Fax
(972) 981-7928
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD217913 OR
Obstetrics & Gynecology Physician 207V00000X 16727 SD
Obstetrics & Gynecology Physician 207V00000X H2358 TX Primary

Addresses

Primary practice location

6130 W. Parker Rd
Mob 1 Ste 310
Plano, TX 75093

Mailing address

PO Box 1969
Coppell, TX 75019-1903
Phone (972) 981-7927

Other practice location 1

6100 Windcom Court
Suite 102
Plano, TX 75093-7888
Phone (469) 574-0111

Other practice location 2

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (864) 908-3530

Other identifiers 2

IdentifierTypeStateIssuer
1083705362MedicaidSD
106357003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, OR, SD4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150306000104 TX Practitioner - Obstetrics/Gynecology 4789653163 Reassigns benefits to 2 organizations
I20190308002477 CA Practitioner - Obstetrics/Gynecology 4789653163 Reassigns benefits to 1 organization
I20240610001915 OR Practitioner - Obstetrics/Gynecology 4789653163 Reassigns benefits to 3 organizations
I20250116002300 SD Practitioner - Obstetrics/Gynecology 4789653163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg South Dakota PCGroup PAC ID 5496100703, 4 clinicians
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (864) 908-3530

4001 J St
Sacramento, CA 95819-3626
Phone (864) 808-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD217913ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health Single Specialty Current Accepting new patients
Obhg South Dakota PC Single Specialty CurrentSince Dec 6, 2024 Accepting new patients
Medical Clinic of North Texas, PLLC Single Specialty Current Accepting new patients
Obhg Oregon PC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Legacy Clinics LLC Single Specialty CurrentSince Apr 29, 2024 Accepting new patients
Silverton Health CurrentSince Oct 2, 2024 Accepting new patients
Obhg California, P.C. Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Medical Clinic of North Texas, PLLC Single Specialty CurrentSince Oct 7, 2021 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 7, 2021 Accepting new patients
Silverton Health Obstetrics & Gynecology CurrentSince Oct 2, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 29, 2024 Accepting new patients
Obhg Texas Holdings, P.a. Single Specialty CurrentSince May 7, 2019 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: iendelman494833@direct.cshs.org
  • Direct secure messaging: iendelman689955@hisp.ehr.sutterhealth.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1083705362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1969",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750191903",
            "telephone_number": "972-981-7927",
            "fax_number": "972-981-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 W. PARKER RD",
            "address_2": "MOB 1 STE 310",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-981-7927",
            "fax_number": "972-981-7928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Windcom Court",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750937888",
            "country_code": "US",
            "telephone_number": "469-574-0111",
            "fax_number": "469-574-0099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 Fairmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017375",
            "country_code": "US",
            "telephone_number": "864-908-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDELMAN",
        "first_name": "IRWIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD217913",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "16727",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H2358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083705362",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106357003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.